The Effect of Data Visualization on Provider Knowledge of Culture Sensitivity Results
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Infectious Disease
- Sponsor
- Beth Israel Deaconess Medical Center
- Enrollment
- 273
- Locations
- 1
- Primary Endpoint
- Provider knowledge
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The goal of this study is to assess the utility of a data visualization tool for providers' understanding patients' past microbiological culture sensitivities. Providers that are ordering antibiotics for patients with previous culture data in the medical record will be asked to answer questions regarding past sensitivity results. They will be randomized to either using the visualization tool before answering the questions or using the standard medical record tools. They will then be surveyed about their decision-making, knowledge, and the usefulness of the tool.
Investigators
Steven Horng, MD
Principal Investigator
Beth Israel Deaconess Medical Center
Eligibility Criteria
Inclusion Criteria
- •provider is caring for a patient with a previous positive urine or blood cultures
- •provider is caring for a patient currently in a clinical location being investigated
- •provider is caring for a patient with orders placed for an intravenous, intramuscular, oral antibiotics
Exclusion Criteria
- •the patient has already received the antibiotic by the time of the intervention
- •the antibiotic has been cancelled by the time of intervention
- •the research assistant is unable to reach the ordering provider before the visit is completed
- •participation by the clinician in the study would impede clinical care
- •age \< 18
Outcomes
Primary Outcomes
Provider knowledge
Time Frame: To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.
Provider knowledge of patients' previous culture sensitivity results as determined by the proportion of correct answers on a questionnaire: Do you think this patient has had previous resistance to each of these antibiotics at BIDMC (Beth Israel Deaconess Medical Center)? \[List of the top 4 antibiotic classes to which resistance is seen at BIDMC that the patient has previously had tested for antibiotic sensitivities\] Yes (previous organisms resistant or with intermediate resistance) No (no previous resistance noted)
Secondary Outcomes
- Post-intervention survey(To be assessed at the time of patient enrollment, up to one day after the initial antibiotic is ordered.)
- Antibiotic order changes(To be assessed at the time of patient enrollment + 1 day)
- Final culture results(To be assessed at the time of patient enrollment + 1 week)